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Carcinoma
NICOLE WOLCOTT
DMS 496
SUMMER TRIMESTER 2015
Case History
Age: 35 year old
Sex: Female
Labs:
WBC: Increased with abscess or mastitis
Hematocrit: Extremely increased with hematoma
Estrogen: Some cancers fueled by high levels of estrogen
CA-125: Increased in some forms of breast cancer
Case History
Exam Ordered: Breast Ultrasound
Reason for Exam: Baseline study due to family history
Current Symptoms: Asymptomatic
Previous Imaging:
Mammogram: No suspicious masses or any malignant
appearing calcifications
Breast Ultrasound: Asymmetric lymph node in the right axilla
MRI: Highly suspicious area of enhancement in the lateral
aspect of the right breast 9:00
Sonographic Findings
Sonographic Findings
Sonographic Findings
Diagnosis
Infiltrating Ductal Carcinoma
Mutation of epithelial cells which form a malignant mass that
spreads from inside the breast ducts and invades surrounding
tissue
Common symptoms:
Solitary, hard, painless, skin dimpling or retraction
Diagnosis
Key Facts:
Most common breast malignancy (75%)
Most common type of breast cancer in men
Prevalence:
About 1 in 8 (12%) women in the US will develop
invasive breast cancer during their lifetime
Accounts for about 8 out of 10 of all invasive breast
cancers
Follow Up
Biopsy performed
Pathology report positive for malignancy consistent with
infiltrating ductal carcinoma
Treatment plan:
No treatment recorded
Lumpectomy, mastectomy, chemotherapy, radiation
therapy
Prognosis:
Depends on multiple social, biologic, and independent
patient factors
Conclusion
Teachable Moment:
Utilize color Doppler
Utilize spectral Doppler
Always check patient history
Scan slowly
Take Away:
Do anything and everything necessary to find a
suspected pathology
References
1. Stephan, Pam. "Invasive Ductal Carcinoma - IDC." About Health. 16
December 2014. Web. 08 July 2015.
<http://breastcancer.about.com/od/types/p/idc.htm>.
2. Charboneau J, Levine D, Rumack C, Wilson S: Diagnostic Ultrasound.
4th ed. Vol 1. Philadelphia, PA, Elsevier Mosby, 2011, pp 798
3. "What are the Key Statistics About Breast Cancer?" Cancer.org.
American Cancer Society, 10 June 2015. Web. 08 July 2015.
<http://www.cancer.org/cancer/%20breastcancer/detailedguide/breastcancer-key-statistics>.
4. Tohno E, Ueno E. Ultrasound (US) diagnosis of nonpalpable breast
cancer. Breast Cancer 2005; 12:267271
References
5. Paulinelli RR, Freitas-Jnior R, Moreira MAR, et al. Risk of
malignancy in solid breast nodules according to their sonographic
features. J Ultrasound Med 2005; 24:635641
6. Kang DK, Jeon GS, Yim H, Jung YS. Diagnosis of the intraductal
component of invasive breast cancer assessment with
mammography and sonography. J Ultrasound Med 2007; 26:1587
1600.
7. Osako T, Takahashi K, Iwase T, et al. Diagnostic ultrasonography
and mammography for invasive and noninvasive breast cancer in
women aged 30 to 39 years. Breast Cancer 2007; 14:229233